Uterine fibroids, also known as leiomyomas or myomas, are common benign tumors that affect the uterus and can cause symptoms such as abnormal bleeding, pelvic pain, and urinary issues. This detailed guide explains the sonographic appearance of uterine fibroids, including their different types (intramural, submucosal, subserosal, and pedunculated), locations, and treatment options. The article covers the role of sonography in diagnosing fibroids, from transabdominal and transvaginal sonography to assessing blood flow and fibroid characteristics. It also discusses treatment options such as myomectomy and uterine artery embolization, highlighting the importance of imaging in planning these procedures.